急性非淋巴细胞白血病并发焦虑抑郁症1例报告一附文献复习

Acute non-lymphocytic leukemia complicated with anxiety and depression： a case report and literature review

目的探讨恶性血液病合并情绪障碍的病因及对策。方法分析1例急性非淋巴细胞白血病并发焦虑抑郁症患者的病历资料并复习相关文献。结果恶性肿瘤患者抑郁症的发生率明显高于健康对照人群，差异有统计学意义。结论恶性血液病未缓解前早期有效抗抑郁、焦虑治疗，包括心理疏导，有利于患者情绪障碍的恢复。在给恶性血液病患者采取躯体综合治疗的同时，应给予积极的心理治疗，增强他们战胜疾病的信心与勇气，此类人群的心理问题不容忽视。

Objective To investigate the causes and countermeasures of hematologic malignan- cies combined with mood disorder. Methods The date of one patients with acute non-lymphocytic leukemia complicated with anxiety and depression were analyzed, and the related literatures were reviewed. Results In cancer patients, the incidence rate of depression was significantly higher than that in healthy control group, there was significant difference. Conclusions Early and effective antidepressant, anxiety treatment, including psychological counseling are conducive to the recovery of patients with mood disorders before hematologic malignancies are eased. In the comprehensive treatment, psychological treatment should be given actively to enhance their confidence and courage to overcome the disease. The quality of life after transplantation, the psychological problems of this population can not be ignored.